Individual
DIANELYS BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W 68TH ST STE A, HIALEAH, FL 33014-4597
(305) 822-2006
Mailing address
1301 W 68TH ST STE A, HIALEAH, FL 33014-4597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA16536
FL
Other
Enumeration date
02/26/2010
Last updated
01/06/2022
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